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1548412190
DIANE WILCOX
TEXARKANA, AR
NPI
1548412190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-10-15
Last Update Date
2008-12-05
Business Address
DIANE WILCOX MED
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-2170
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Mailing Address
DIANE WILCOX MED
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-5868
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